Ngaba nawe ngequbuliso uyeka ukuphefumla xa ulele? Masifunde ngale (Central Sleep Apnea)!

Ngaba ngamanye amaxesha uvuka ngequbuliso ebusuku? Ngaba uziva uphelelwa ngumphefumlo? Okanye uziva udiniwe kwaye ulele imini yonke? Ezi ayizozinto nje ezingaqhelekanga. Mhlawumbi isizathu soku kukuba unesifo esibizwa ngokuba yi-"Central Sleep Apnea". Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni i-Central Sleep Apnea (CSA)?

Ngamafutshane, `(Central Sleep Apnea)` kuxa ukuphefumla kwakho kuyeka ixesha elifutshane ngexesha lokulala. Kodwa oku akufani ne `(Obstructive Sleep Apnea)` eza nokurhona. Okwenzekayo apha kukuba ingqondo yakho ayithumeli imiqondiso kwimisipha yokuphefumla ngokufanelekileyo. Uninzi lwexesha, le meko `(Central Sleep Apnea)` inokwenzeka njengengxaki yesinye isifo okanye ngenxa yokusebenzisa amayeza athile. Umzekelo, abantu abanesifo sentliziyo banamathuba amaninzi okufumana le meko. Ke ngoko, oogqirha badla ngokunyanga unobangela oyintloko.

Ziziphi iintlobo eziphambili ze-`(Central Sleep Apnea)`?

Kukho iintlobo ezahlukeneyo ze-"Central Sleep Apnea". Makhe sibone ukuba zeziphi:

• I-CSA ePhambili: Kule meko, kunzima ukufumana unobangela ocacileyo we-Central Sleep Apnea. Iyenzeka nje.
• I-CSA eneCheyne-Stokes Breathing (CSB): Ukuba unale meko, ukuphefumla kwakho kwenzeka ngemijikelo. Khawuthelekelele, uphefumla ngokukhawuleza ixesha elide, uze uyeke ukuphefumla okwethutyana. Uphefumla ngokukhawuleza kwakhona, uze uyeke kwakhona. Umjikelo omnye onje unokuhlala phakathi kwemizuzwana engama-40 ukuya kwengama-90.
• I-CSA ibangelwa zezinye iimeko zonyango: Kwabanye abantu, le meko inokubangelwa zizinto ezifana nesifo sentliziyo okanye iimeko zemithambo-luvo.
• I-CSA ephuthumayo yonyango: Ngamanye amaxesha, abantu abane-Obstructive Sleep Apnea endikhankanyileyo ngaphambili banokuba nale meko intsha ebizwa ngokuba yi-Central Sleep Apnea emva kokuba beqale ukusebenzisa umatshini we-CPAP (isixhobo esibanceda baphefumle).
• I-CSA ibangelwa kukuhlala kwiindawo ezineentaba: Abanye abantu banokuhlangabezana nolu hlobo lobunzima bokuphefumla nokuba bahlala kwiindawo ezineentaba eziphakamileyo ixesha elide.
• I-CSA ibangelwa ziintlungu: Oku kunokubangelwa ziintlungu ezithile ezimiselwe ngoogqirha, ingakumbi ezo ziqulethe "ii-Opioids", okanye yimeko ebizwa ngokuba yi-"Opioid Use Disorder".

Zithini iimpawu ze-`(Central Sleep Apnea)`?

Ixesha elininzi, ufumana iimpawu ze-"Central Sleep Apnea" xa uvukile. Jonga ukuba unazo na ezi mpawu:

• Ukuva ulele ngalo lonke ixesha emini, ngokungathi awukalali ngokwaneleyo ebusuku.
• Intloko ebuhlungu kakhulu kusasa.
• Umlomo owomileyo.
• Ukuziva uxhalabile kancinci, ucaphuka lula.
• Ubunzima bokugxila kwinto ethile.

Ukuba une-`(CSA)`, ungavuka ngequbuliso ezinzulwini zobusuku ngaphandle kwesizathu. Ukuba kukho omnye umntu onawe, banokubona ukuba uyajikajika kwaye ungazinzi ebuthongweni bakho.

Zithini izizathu ze-`(Central Sleep Apnea)`?

Oku kwenzeka xa kukho into echaphazela inxalenye yengqondo yethu ebizwa ngokuba yi-"Brainstem". Le "Brainstem" yiyo elawula ukuphefumla kwethu. Yiyo ethumela imiqondiso kwimisipha kwinkqubo yethu yokuphefumla ukuze iphefumle.

Kumntu one-Central Sleep Apnea, i-brainstem ayiphenduli kakuhle kutshintsho kubungakanani be-carbon dioxide (CO2) egazini lakhe. I-carbon dioxide yinkunkuma ekhutshwa emizimbeni yethu xa siphefumla. Xa inqanaba le-carbon dioxide egazini lakho lisanda, i-brainstem yakho ixelela izihlunu zakho zokuphefumla ukuba ziphefumle kwaye zikhuphe umoya nzulu ngakumbi. Uphefumla nzulu.

Nangona kunjalo, xa amanqanaba akho ekhabhoni dioksayidi ehla, i-brainstem ixelela ezo zihlunu ukuba ziphefumle zingene ziphume kancinci. Uphefumla kancinci kunesiqhelo, uphefumle kancinci, okanye uyeke ukuphefumla imizuzwana embalwa. Enye ingxaki ngale nkqubo yimbangela ye-central sleep apnea.

Ziziphi izinto ezibangela umngcipheko we-`(Central Sleep Apnea)`?

Usenokuba sengozini enkulu yokuba nale meko ukuba:

• Ukuba uneminyaka engama-60 nangaphezulu: Njengoko sikhula, indlela ingqondo yethu elawula ngayo ukuphefumla ngexesha lokulala inokutshintsha.
• Ukuba uyindoda: Kufunyenwe ukuba amadoda anamathuba amaninzi okufumana le meko.
• Ukuba unesifo sentliziyo (esifana ``Congestive Heart Failure'' okanye ``Atrial Fibrillation'').
• Ukuba unengxaki yenkqubo yemithambo-luvo (efana ne-`(Stroke)`, `(Amyotrophic Lateral Sclerosis - ALS)` okanye `(Myasthenia Gravis - MG)`).
• Ukuba usela iintlungu eziqulethe `(Opioid)` okanye ukuba unesifo `(Opioid Use Disorder)`.
• Ukuba uneemeko ezithile zofuzo (ezifana `(Rett Syndrome)`, `(Prader-Willi Syndrome)` okanye `(Congenital Central Hypoventilation Syndrome)`).
• Ukuba une-therapy-emergent sleep apnea (`(Unyango-emergent Sleep Apnea)`) okanye amanqanaba aphantsi eoksijini egazini (`(Hypoxemia)`).

Ziziphi iingxaki ezinokubakho ze-`(Central Sleep Apnea)`?

I-Central Sleep Apnea ayisiyongxaki yokulala nje. Umzimba wakho kufuneka usebenze nzima ukuze uyeke kwaye uqale ukuphefumla kwakhona. I-Central Sleep Apnea ithetha ukuba umzimba wakho uyayeka kwaye uqale ukuphefumla amaxesha amaninzi kunesiqhelo. Lo msebenzi wongezelelekileyo unokonakalisa amalungu akho angaphakathi kunye nemithambo yegazi.I-Central Sleep Apnea inokunyusa umngcipheko wokuphuhliswa kwezifo ezifana nezi:

• Ukuphazamiseka kwentliziyo `(Arrhythmia)`
• Ukuphazamiseka kokulala
• Ukudinwa imini yonke
• Ukungalali

Cinga ngayo, ifana nemoto. Okwenzeka kwinjini xa uyiqalisa uze uyicime, kwaye okwenzekayo kuyo xa uyiqalisa uze uyicime, yinto efanayo eyenzeka emizimbeni yethu.

Ungayixilonga njani i-`(Central Sleep Apnea)`?

Ugqirha uza kuqala akubuze ngeempawu zakho, nokuba kukho nabani na kusapho lwakho oneemeko ezifanayo, kunye nezinye izifo ezinokubangela i-Central Sleep Apnea.

Emva koko, ugqirha wakho unokucebisa ukuba wenze uphando lokulala ukuze kuchongwe ukuba unesifo sokungalali kakuhle okanye isifo sokungalali kakuhle. Ngexesha lophando lokulala, uza kuchitha ubusuku kwilabhoratri yokulala. Iqela lezonyango liza kujonga kwaye lihlalutye ukusebenza kweenkqubo ezahlukeneyo emzimbeni wakho. Umzekelo, baza kujonga amaza obuchopho bakho, izinga lokubetha kwentliziyo, kunye neendlela zokuphefumla. Oku kuya kunceda ekuchongeni ukuba yintoni kanye kanye ingxaki.

Iphathwa njani i-Central Sleep Apnea?

Oogqirha basebenzisa iinkqubo zePositive Air Pressure (PAP) (izixhobo ezibonelela ngoxinzelelo lomoya ngexesha lokuphefumla) ukuthintela iimpawu zeCentral Sleep Apnea. Ezi ziquka:

• Umatshini othi `(Uxinzelelo Lomoya Oluqhubekayo - CPAP)`: Oku kubonelela ngomoya ngoxinzelelo olungaguquguqukiyo.
• Umatshini othi `(Bilevel Positive Air Pressure - BiPAP)`: Oku kunika uxinzelelo olunye xa uphefumla kunye nolunye uxinzelelo xa uphefumla.
• Umatshini we-`(Adaptive Servo-Ventilation - ASV)`: Lo uphucuke ngakumbi. Ungalungisa uxinzelelo lomoya njengoko kufuneka ngokusekelwe kwindlela ophefumla ngayo.

Ugqirha wakho uza kukuchazela ukuba sesiphi isixhobo esifanelekileyo kwimeko yakho.

Ngaba kunokwenzeka ukuba uphile ixesha elide une-`(Central Sleep Apnea)`?

Lo ngumbuzo abantu abaninzi abawubuzayo. ``I-Central Sleep Apnea`` ayichaphazeli ngokuthe ngqo ixesha ophila ngalo. Nangona kunjalo, ukuba ayinyangwa kakuhle, inokukhokelela kwiingxaki endizikhankanyileyo ngaphambili kwaye ichaphazele umgangatho wobomi bakho.

Ndingazinyamekela njani?

I-Central Sleep Apnea idla ngokuba yingxaki yesinye isifo. Ngoko ke, ukuba unyangelwa esi sifo singundoqo, qhubeka naso. Kungenjalo, fumana unyango lwaso.

Ukuba une-Central Sleep Apnea, kubaluleke kakhulu ukubona ugqirha wakho rhoqo ukuze ahlolwe.Banokujonga ukuba unyango lwakho lusebenza kakuhle na kwaye kukho naziphi na ezinye iingxaki. Ugqirha wakho unokucebisa novavanyo olongezelelweyo, olufana "noPhando lokuLala".

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• Uqiniseka njani ukuba ndine-`(Central Sleep Apnea)`?
• Loluphi unyango olundicebisayo?
• Kuza kufuneka ndithathe olu nyango ixesha elingakanani?
• Ngaba ezi ndlela zonyango zingayinyanga ngokupheleleyo i-"Central Sleep Apnea"?

Ukuba une-Central Sleep Apnea (CSA), unokufumana kunzima ukugqiba usuku, njengokungakwazi ukulala ebusuku, ukuvuka ngequbuliso, kunye nokudinwa nokuba ulala kangakanani na.

Usenokuba ne-CSA ngenxa yesifo sentliziyo okanye esinye isifo. Okanye ngamanye amaxesha, akukho sizathu sithile sifumanekayo. Nokuba yintoni na imbangela, i-CSA inokuchaphazela umgangatho wobomi bakho ngoku kwaye yonyuse umngcipheko wezinye iingxaki zempilo kwixesha elizayo. Iindaba ezimnandi zezokuba oogqirha baneendlela zonyango ezinokukunceda ulawule i-CSA. Ngoko ke nawe unokufumana ubuthongo obumnandi ebusuku kwaye uvuke uhlaziyekile.

Ukuba uneengxaki zokulala, qiniseka ukuba ubonana nogqirha. Baza kuyihlola ngokuchanekileyo imeko yakho baze bakucebise ngonyango olufanelekileyo kuwe.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Central Sleep Apnea yingxaki enxulumene nemiqondiso yobuchopho ebangela ukuba ukuphefumla kuyeke okwethutyana ngexesha lokulala.
• Kukho izizathu ezahlukeneyo zoku; ezinye izifo, amayeza athile, okanye akukho sizathu kwaphela.
• Usenokukukrokrela ukuba uneempawu ezifana nokulala kakhulu emini, iintloko ezibuhlungu zasekuseni, kunye nobunzima bokugxila.
• "Uphononongo lokulala" lubalulekile ukuze kufunyanwe isifo ngokuchanekileyo.
• Kukho unyango olufana nolu `(CPAP)`, `(BiPAP)`, kunye no `(ASV)`.
• Ukuba le meko ayihoywa, iingxaki ezifana nesifo sentliziyo zinokwenzeka.
• Ukuba unale mpawu, qiniseka ukuba ucela ingcebiso kugqirha. Akukho nto inokubangela uxhalaba ngayo, le meko ingalawuleka kakuhle ngonyango olufanelekileyo.

Ukulala , ukuphefumla, i-central sleep apnea, i-CSA, ubuchopho, iingxaki zokulala, i-CPAP